| NPI | 1326357906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX R7204) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX BP10036530) |
| 207T00000X Neurological Surgery (Licence: FL ME130594) | |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2024-09-16 |