NPI | 1518168350 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 54624) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 105411) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-05-30 |
Last Update Date | 2020-08-20 |