| NPI | 1538318191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 60948-20) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TN MD53827) |
| 207T00000X Neurological Surgery (Licence: IL 036146918) | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2021-12-01 |