| NPI | 1528216868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: SC 82510) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO DR.0062792) |
| 207T00000X Neurological Surgery (Licence: MN 61663) | |
| 207T00000X Neurological Surgery (Licence: VA 0101267352) | |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2023-11-30 |