| NPI | 1053756577 |
|---|---|
| Other Name | TREY BATEMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry (Licence: NC 2018-01310) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 2018-01310) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2019-08-05 |