| NPI | 1952756058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD209938) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2020-00936) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 22527) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 108194) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD477358) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2022021019) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX T6238) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME154977) | |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2024-04-05 |