NPI | 1245613827 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY TP360) |
Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: KY TP360) |
2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: VA 0101272056) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-07-01 |
Last Update Date | 2024-09-03 |