| NPI | 1720506272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: PA MD481243) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A158348) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN CV2102990) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301503634) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2025-05-04 |