| NPI | 1689081895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KY 55805) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KY TP214) |
| 207T00000X Neurological Surgery (Licence: IN 01086128A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-07-20 |
| Last Update Date | 2024-04-15 |