NPI | 1831336320 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 51725) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 104193) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-01-21 |
Last Update Date | 2010-09-01 |