| NPI | 1083666978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: HI MD-22831) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: GA 047873) |
| 207T00000X Neurological Surgery (Licence: TX M6970) | |
| 2085N0700X Radiology, Neuroradiology (Licence: GA 047873) | |
| 2085N0700X Radiology, Neuroradiology (Licence: TX M6970) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2022-11-01 |