| NPI | 1366889529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL 144151.) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036.151818) |
| 207T00000X Neurological Surgery (Licence: MA 273428) | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2021-04-30 |