| NPI | 1073595989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA 321010) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: LA 056219) |
| 207T00000X Neurological Surgery (Licence: MS 10954) | |
| 207T00000X Neurological Surgery (Licence: TX V5959) | |
| 207T00000X Neurological Surgery (Licence: CA C199733) | |
| 207T00000X Neurological Surgery (Licence: AL MD.50154) | |
| 208D00000X General Practice (Licence: TX V5959) | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2025-06-25 |