NPI | 1700248937 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 305375) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 100381) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 21791) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: PA OS022214) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2021045543) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-03-26 |
Last Update Date | 2023-08-30 |