NPI | 1962850347 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 66426) |
Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: CT 66426) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-05-26 |
Last Update Date | 2021-05-17 |