| NPI | 1457589939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NC 2017-00526) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2009014359) |
| 207T00000X Neurological Surgery (Licence: UT 9697221-1205) | |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2024-10-09 |