| NPI | 1003222738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OK 39246) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 59398) |
| 207T00000X Neurological Surgery (Licence: AZ 62549) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 39246) | |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2022-11-19 |