NPI | 1376554360 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD451924) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME115737) |
390200000X Student in an Organized Health Care Education/Training Program | |
207T00000X Neurological Surgery (Licence: NJ 25MA09721300) | |
207T00000X Neurological Surgery (Licence: NY 269662) | |
Enumeration Date | 2006-08-11 |
Last Update Date | 2017-02-24 |