| NPI | 1861724064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036.125674) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO CDR.0000337) |
| 207T00000X Neurological Surgery (Licence: IN 01074833A) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN6631) | |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2022-04-20 |