NPI | 1801380613 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0068411) |
Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: CA A166061) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A166061) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-163326) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-06-15 |
Last Update Date | 2024-03-28 |