NPI | 1952863300 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 25626) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 319970) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-04 |
Last Update Date | 2024-05-29 |