| NPI | 1386081677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 5101026015) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA OS020459) |
| 207T00000X Neurological Surgery (Licence: MI 5101024015) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2023-07-18 |