NPI | 1659581601 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA 206009) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0101251709) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116018775) | |
Enumeration Date | 2007-05-22 |
Last Update Date | 2018-05-31 |