| NPI | 1427211259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 084087) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD442141) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2020-04-10 |