NPI | 1790129088 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 077890) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: GA 077890) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-17 |
Last Update Date | 2025-08-04 |