| NPI | 1396988051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 321788) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KY TP389) |
| 207T00000X Neurological Surgery (Licence: OR MD181915) | |
| 207T00000X Neurological Surgery (Licence: AR E11449) | |
| 207T00000X Neurological Surgery (Licence: MO 2018025924) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2023-05-17 |