NPI | 1326202722 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 290268) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.092693) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-07-15 |
Last Update Date | 2019-04-29 |