NPI | 1902331747 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX U7362) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301504406) |
390200000X Student in an Organized Health Care Education/Training Program | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-14546) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 29554) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 63591) | |
Enumeration Date | 2017-05-01 |
Last Update Date | 2025-03-21 |