| NPI | 1619925443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX S3491) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA G43778) |
| 207T00000X Neurological Surgery (Licence: IN 01070361A) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-04-17 |