NPI | 1629462577 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO DR.0067938) |
Additional Taxonomies | 208D00000X General Practice (Licence: LA 308151) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-03-27 |
Last Update Date | 2024-01-19 |