| NPI | 1841448586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI 4301091338) |
| Enumeration Date | 2008-09-07 |
| Last Update Date | 2009-07-06 |