| NPI | 1407978380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CT 69889) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD-435536) |
| 207T00000X Neurological Surgery (Licence: AR E-5886) | |
| 207T00000X Neurological Surgery (Licence: MI 4301093523) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2021-12-23 |