NPI | 1932715430 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: VT 105065) |
Additional Taxonomies | 102L00000X Psychoanalyst (Licence: VT 097.0134992) |
102L00000X Psychoanalyst (Licence: 097.0134992) | |
146M00000X Emergency Medical Technician, Intermediate (Licence: VT 105065) | |
2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: VT 097.0134992) | |
Enumeration Date | 2020-09-20 |
Last Update Date | 2021-05-14 |