| NPI | 1295267037 |
|---|---|
| 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: LA 337955) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 337955) | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2024-04-22 |