| NPI | 1053606459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35.131943) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NE 6530) |
| 207T00000X Neurological Surgery (Licence: IN 01086646A) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2023-08-23 |