| NPI | 1023102159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NE 35908) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IA MD-52393) |
| 207T00000X Neurological Surgery (Licence: OR MD155140) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2024-04-01 |