| NPI | 1477872398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VT 042.0014122) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX BP10037811) |
| 207T00000X Neurological Surgery (Licence: AZ 53493) | |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2018-08-20 |