| NPI | 1013187756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA MD.206363) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: LA GETP.TUL.NS) |
| 207T00000X Neurological Surgery (Licence: CO DR.0069490) | |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2022-12-01 |