| NPI | 1669904629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX T1488) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL UO5672) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX T1488) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX T1488) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TX T1488) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL UO5672) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2023-10-11 |