| NPI | 1144228933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: DC MD2000056) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0101272376) |
| 207T00000X Neurological Surgery (Licence: NC 200301453) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2024-09-24 |