| NPI | 1073201521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA 198315) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OR MF216293) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2024-08-13 |