| NPI | 1568875995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME131057) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: HI ME131057) |
| 207T00000X Neurological Surgery (Licence: MT 112142) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2022-06-03 |