NPI | 1891939260 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0053697) |
Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: WA 60337754) |
2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: CO 53697) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-04-28 |
Last Update Date | 2024-01-03 |