NPI | 1487943122 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A125073) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61573317) |
2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CA A125073) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-04-04 |
Last Update Date | 2024-09-05 |