| NPI | 1285710269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0101261269) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35.138142) |
| 207T00000X Neurological Surgery (Licence: TX P3555) | |
| 207T00000X Neurological Surgery (Licence: SC bm9441635) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2019-11-26 |