| NPI | 1992041461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036145915) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ 50220) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2018-05-11 |