| NPI | 1982191003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0007205) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO TL.0007205) |
| Enumeration Date | 2018-04-14 |
| Last Update Date | 2018-05-22 |