NPI | 1912131053 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TX P9525) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX P9525) |
2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TX P9525) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-05-04 |
Last Update Date | 2020-01-22 |