| NPI | 1003030578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MS 27517) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2009017538) |
| 207T00000X Neurological Surgery (Licence: MI 5101015825) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-07-08 |