NPI | 1336657899 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1744R1102X Specialist, Research Study |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
174H00000X Health Educator | |
Enumeration Date | 2018-01-18 |
Last Update Date | 2023-09-14 |