NPI | 1720347834 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX S5658) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX BP10044112) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN28162) | |
Enumeration Date | 2012-05-09 |
Last Update Date | 2020-09-17 |