NPI | 1487074076 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: OH 35.133327) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.133327) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-22 |
Last Update Date | 2021-06-21 |