| NPI | 1447747563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 68134) |
| 208600000X Surgery (Licence: MN 68134) | |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2023-12-28 |