| NPI | 1528009198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN MD34821) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 40265) |
| 207T00000X Neurological Surgery (Licence: VA 0101247383) | |
| 207T00000X Neurological Surgery (Licence: GU MTL-2023-001) | |
| 207T00000X Neurological Surgery (Licence: GU M-2375) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-04-21 |