| NPI | 1134178239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 69542) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA C40718) |
| 207T00000X Neurological Surgery (Licence: MI 4301091497) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2021-08-24 |