NPI | 1962908368 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MA 275550) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ 75480) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-04 |
Last Update Date | 2025-06-19 |