| NPI | 1366646945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 1005) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX BP2-0029556) |
| 207T00000X Neurological Surgery (Licence: MI 4301109873) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2018-03-17 |