| NPI | 1922329986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036154870) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TN 55611) |
| 207T00000X Neurological Surgery (Licence: MS 24953) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2022-07-21 |