| NPI | 1326334889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 65141) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD463631) |
| 207T00000X Neurological Surgery (Licence: MA 266188) | |
| 207T00000X Neurological Surgery (Licence: MA L-247515) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2019-07-17 |