| NPI | 1477503597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AR C-5399) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KY 40812) |
| 207T00000X Neurological Surgery (Licence: IL 036113252) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2021-09-13 |