| NPI | 1265605091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GU M-2331) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX Q2502) |
| 207T00000X Neurological Surgery (Licence: GU EMTL-2022-022) | |
| 207T00000X Neurological Surgery (Licence: GA 071661) | |
| 207T00000X Neurological Surgery (Licence: CA A109529) | |
| Enumeration Date | 2008-04-13 |
| Last Update Date | 2022-09-20 |