| NPI | 1326402082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NC 2024-02336) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO DR.0070493) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2024-08-20 |