| NPI | 1447773601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO DR.0072136) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO TL.0006397) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2023-12-08 |