| NPI | 1477713725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: GA 69812) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125053979) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2011019201) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2023-07-28 |