| NPI | 1750448072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036127424) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OK 31366) |
| 207T00000X Neurological Surgery (Licence: WA FE00047329) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 036127) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2019-03-05 |