| NPI | 1326450594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AL 35003) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL 35003) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2022-02-17 |