| NPI | 1144208406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NC 2016-01098) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TN 34485) |
| 207T00000X Neurological Surgery (Licence: OH 35.127083) | |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2024-03-20 |