| NPI | 1245264878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA C38032) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 36097291) |
| 207T00000X Neurological Surgery (Licence: NE 6201) | |
| 207T00000X Neurological Surgery (Licence: NM MD2004-0572) | |
| 207T00000X Neurological Surgery (Licence: PA MD066356L) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2009-05-27 |