| NPI | 1528064144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35C.001383) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: GA 027263) |
| 207T00000X Neurological Surgery (Licence: KY 41716) | |
| 207T00000X Neurological Surgery (Licence: NM MD2018-0985) | |
| 207T00000X Neurological Surgery (Licence: ND 12978) | |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2024-04-25 |