NPI | 1952600223 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: FL me120537) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301116531) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: TX TM00784) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 19223) | |
390200000X Student in an Organized Health Care Education/Training Program | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME120537) | |
Enumeration Date | 2011-03-25 |
Last Update Date | 2022-04-15 |