| NPI | 1184689515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: SC 37893) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036-129390) |
| 207T00000X Neurological Surgery (Licence: WI 47499) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2018-03-22 |