| NPI | 1932235074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 4301098381) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 251492) |
| 208600000X Surgery (Licence: NY 2514921) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NY 251492) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2015-05-28 |