NPI | 1275822637 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: AZ 68857) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 68857) |
390200000X Student in an Organized Health Care Education/Training Program | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301113311) | |
Enumeration Date | 2011-04-06 |
Last Update Date | 2024-09-25 |