| NPI | 1033373998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 45540) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ R70169) |
| 207T00000X Neurological Surgery (Licence: MI 4301108590) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2022-10-25 |