NPI | 1447754759 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AR E-19356) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 64079) |
Enumeration Date | 2018-03-21 |
Last Update Date | 2025-06-12 |