NPI | 1952939241 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 33707) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 1018967) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-03-31 |
Last Update Date | 2025-06-03 |