NPI | 1376002683 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A180657) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A180657) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-16 |
Last Update Date | 2022-08-03 |