| NPI | 1013962935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 2002004012) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KS 04-29148) |
| 207T00000X Neurological Surgery (Licence: AR E2534) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2021-09-30 |