| NPI | 1396834271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 076453) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME131234) |
| 207T00000X Neurological Surgery (Licence: IL 036-078323) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2022-01-04 |