NPI | 1992296206 |
---|---|
Former Name | PHILIP JOHN BARBER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 293658) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 276343) |
Enumeration Date | 2018-05-22 |
Last Update Date | 2023-03-16 |