| NPI | 1043292550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX K6051) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA 217109) |
| 207T00000X Neurological Surgery (Licence: TX FTL 42013) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2020-02-03 |