| NPI | 1326540337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: WA DO.OP.61554068) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV NVSL1618) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA DO.OP.61554068) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2024-06-18 |