NPI | 1679159297 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 94341) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN32798) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: FL TRN32798) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-03-23 |
Last Update Date | 2025-08-06 |