NPI | 1871288910 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 11743) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 11743) | |
Enumeration Date | 2023-04-05 |
Last Update Date | 2024-01-03 |