| NPI | 1598958753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MA 242057) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0101247415) |
| 207T00000X Neurological Surgery (Licence: MN 50618) | |
| 207T00000X Neurological Surgery (Licence: IN 01054785A) | |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2024-11-08 |