| NPI | 1639248040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 4301075671) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 01082573) |
| 207T00000X Neurological Surgery (Licence: OH 35.076971) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2024-04-28 |