| NPI | 1598703910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI EMC0007225) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KY C3796) |
| 207T00000X Neurological Surgery (Licence: IN 01059338A) | |
| 207T00000X Neurological Surgery (Licence: IL 036110035) | |
| 207T00000X Neurological Surgery (Licence: OR MD216447) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2026-06-08 |