| 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 |