| NPI | 1639490857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OK 39738) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MT197172) |
| 207T00000X Neurological Surgery (Licence: IN 01078566A) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2022-12-07 |