| NPI | 1285834630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN TN MD 51057) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MS 24863) |
| 207T00000X Neurological Surgery (Licence: AL 34038) | |
| 207T00000X Neurological Surgery (Licence: OK 35426) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2020-04-29 |