| NPI | 1336450105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 63272) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125-057590) |
| 207T00000X Neurological Surgery (Licence: WA MD60640413) | |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2021-06-10 |