| NPI | 1619295466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 39760) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: SC 39760) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: IN 01085117A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2021-01-20 |