| NPI | 1093701278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 264268) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0101282051) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: IL 036-084798) | |
| 207T00000X Neurological Surgery (Licence: KS 04-31027) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2024-05-09 |