| NPI | 1447244769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: ME MD26463) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO 48435) |
| 207T00000X Neurological Surgery (Licence: VA 0101234391) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2023-05-02 |