| NPI | 1487918322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 61102) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125062133) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10054957) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2021-02-12 |