NPI | 1427555101 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CT 71597) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: PA MD485523) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-10 |
Last Update Date | 2024-06-18 |