NPI | 1063941672 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX BP10060509) |
Enumeration Date | 2017-06-07 |
Last Update Date | 2022-07-21 |