NPI | 1457857609 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 187130) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61278845) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-04 |
Last Update Date | 2023-07-27 |