| NPI | 1689037699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A159660) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.027677) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA A159660) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2024-03-12 |