NPI | 1114376209 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 19840) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0102207550) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-06-08 |
Last Update Date | 2023-04-20 |