| NPI | 1104245562 |
|---|---|
| Former Name | BENJAMIN WILSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NM MD2021-0303) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2021-09-21 |