| NPI | 1427581198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 15226-320) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 22813) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WI 15226-320) | |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2026-08-12 |