| NPI | 1194934968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME151206) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO DR-51407) |
| 207T00000X Neurological Surgery (Licence: CA AFE88264) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2021-09-17 |