NPI | 1093159444 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 55683) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME168010) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-28 |
Last Update Date | 2024-04-29 |