| NPI | 1821239898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD459939) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A141283) |
| 207T00000X Neurological Surgery (Licence: LA MD.206974) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2020-08-28 |