| NPI | 1326012436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AL 38652) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MS 13260) |
| 207T00000X Neurological Surgery (Licence: CO 57571) | |
| 207T00000X Neurological Surgery (Licence: UT 58563021205) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2019-09-11 |