| NPI | 1639338585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: SC 36437) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: VA 0101269619) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: WV 32550) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 307357) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 36437) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101269619) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A117333) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WV 32550) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2023-12-21 |