| NPI | 1518980663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A062246) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 30171) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX T8882) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2022038336) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME159509) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 66692) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ THMD00033) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2024-05-02 |