| NPI | 1629043930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 20100093266) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI 4301087045) |
| 207T00000X Neurological Surgery (Licence: IN 01082618A) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2020-10-27 |