| NPI | 1841933215 |
|---|---|
| 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: PA 390200000X) |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-04-14 |