| NPI | 1396368585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A199058) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 343677) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301512740) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 33903) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2024036825) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA12290400) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 26560) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD221237) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME159671) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101283294) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD.61562861) | |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2024-12-13 |