| NPI | 1518159557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MD D0099701) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WI 69713) |
| 207T00000X Neurological Surgery (Licence: MN 20456) | |
| 207T00000X Neurological Surgery (Licence: CO DR.0061728) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2024-09-17 |