| NPI | 1578203428 |
|---|---|
| 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: IL 125.079415) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-05-18 |