| NPI | 1942663257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A156006) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 321890) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2026-05-19 |