NPI | 1114301637 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 143798) |
Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: CA A143798) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-07-14 |
Last Update Date | 2020-09-23 |