NPI | 1134656903 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0301X Psychiatry & Neurology, Brain Injury Medicine (Licence: TN 65292) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 65292) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-05-11 |
Last Update Date | 2023-05-11 |