NPI | 1891252201 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME168392) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL 168392) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-02-22 |
Last Update Date | 2025-08-29 |