NPI | 1720346182 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 304174) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 65737) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-24 |
Last Update Date | 2022-08-02 |