NPI | 1225487366 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 328606) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207T00000X Neurological Surgery (Licence: RI MD19037) | |
Enumeration Date | 2016-06-09 |
Last Update Date | 2024-08-20 |