| NPI | 1386764132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MS 26553) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TN DO2749) |
| 207T00000X Neurological Surgery (Licence: MI 5101015168) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-07-09 |