NPI | 1942654785 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: TX T0866) |
Additional Taxonomies | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: TX T0866) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-18 |
Last Update Date | 2023-02-22 |