| NPI | 1336127968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 45789) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA 224088) |
| 207T00000X Neurological Surgery (Licence: MS 24045) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2024-04-05 |