| NPI | 1316027501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 207T00000X) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ 47997) |
| 207T00000X Neurological Surgery (Licence: WI 50656) | |
| 207T00000X Neurological Surgery (Licence: MT MED-PHYS-LIC-26519) | |
| 207T00000X Neurological Surgery (Licence: WV 26458) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2023-12-14 |