NPI | 1821616509 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2020021118) |
Enumeration Date | 2020-07-09 |
Last Update Date | 2024-06-19 |