| NPI | 1538587803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 285683) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 74833-21) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: MA 130) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20A18934) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5101026004) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MB11306300) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 285683) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 90130) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036155494) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 34.013413) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 315497-01) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2022-03-23 |