NPI | 1104323542 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA OS023130) |
Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: PA OS023130) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-11 |
Last Update Date | 2023-08-22 |