| NPI | 1598933301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 44477) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI 4301098927) |
| 207T00000X Neurological Surgery (Licence: OH 129046) | |
| 207T00000X Neurological Surgery (Licence: MS 24390) | |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2016-06-30 |