NPI | 1891322988 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA A191579) |
Additional Taxonomies | 174400000X Specialist (Licence: CA PTL5516) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA PTL5516) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-03-26 |
Last Update Date | 2024-06-26 |