| NPI | 1356404651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 4301509941) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0101245824) |
| 207T00000X Neurological Surgery (Licence: PA MD425186) | |
| 207T00000X Neurological Surgery (Licence: MA 235930) | |
| 207T00000X Neurological Surgery (Licence: DC MD038027) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2023-11-02 |