| NPI | 1033606660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: SC LL51987) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: WA OP61529498) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: OR DO219289) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2024-07-17 |