| NPI | 1154542181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX S9413) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KY 40612) |
| 207T00000X Neurological Surgery (Licence: IN 01068505A) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2024-12-13 |