| NPI | 1538108931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO 37209) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OR 19476) |
| 207T00000X Neurological Surgery (Licence: WA 34323) | |
| 207T00000X Neurological Surgery (Licence: NE 21045) | |
| 207T00000X Neurological Surgery (Licence: WY 6344A) | |
| 207T00000X Neurological Surgery (Licence: OK 23044) | |
| 207T00000X Neurological Surgery (Licence: NM 2003-0703) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2011-02-02 |