NPI | 1841721628 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME148392) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: VA 0101274392) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-23 |
Last Update Date | 2024-04-20 |