| NPI | 1811423908 |
|---|---|
| Other Name | ZACH ROBERTS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A188710) |
| Additional Taxonomies | 2084E0001X (Licence: CA A188710) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2023-10-06 |