| NPI | 1336235209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 2015008632) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AR E-6917) |
| 207T00000X Neurological Surgery (Licence: VA 0101273660) | |
| 207T00000X Neurological Surgery (Licence: KS 04-37893) | |
| 207T00000X Neurological Surgery (Licence: CO 42392) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-08-09 |