| NPI | 1548270788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME102142) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO DR.0040268) |
| 207T00000X Neurological Surgery (Licence: PA MD027640E) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2025-09-10 |