| NPI | 1093002891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 2016009043) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2011019220) |
| 207T00000X Neurological Surgery (Licence: OK 35243) | |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2022-08-29 |