| NPI | 1184810061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO 50849) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: UT 6027353-1205) |
| 207T00000X Neurological Surgery (Licence: UT 6027353-8905) | |
| 207T00000X Neurological Surgery (Licence: TX N4387) | |
| 207X00000X Orthopaedic Surgery (Licence: CO 50849) | |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2021-06-21 |