NPI | 1528412368 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 328356) |
Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: LA 328356) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-18 |
Last Update Date | 2021-09-03 |