NPI | 1801423751 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TN 71421) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: LA 326588) |
208D00000X General Practice (Licence: LA 326588) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-03-23 |
Last Update Date | 2024-10-04 |