NPI | 1811377393 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 304562) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: GA 91686) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-06-01 |
Last Update Date | 2022-05-17 |