NPI | 1841496007 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301101970) |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MI 4301101970) |
390200000X Student in an Organized Health Care Education/Training Program | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 4301101970) | |
Enumeration Date | 2007-06-25 |
Last Update Date | 2013-01-16 |