| NPI | 1134118789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 36870) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MS 19591) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2024-04-03 |