| NPI | 1114976289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: SD 8147) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036-065063) |
| 207T00000X Neurological Surgery (Licence: MT 103790) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2021-12-06 |