| NPI | 1093938482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 5101017274) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI notavailable) |
| 207T00000X Neurological Surgery (Licence: NY 252588) | |
| 207T00000X Neurological Surgery (Licence: TN MD2458) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2014-06-25 |