NPI | 1295267037 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: LA 337955) |
2084N0400X Psychiatry & Neurology Neurology (Licence: LA 337955) | |
Enumeration Date | 2017-03-31 |
Last Update Date | 2024-04-22 |