| NPI | 1659646917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO CDR.0004616) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA 151835) |
| 207T00000X Neurological Surgery (Licence: IN 01081524A) | |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2025-01-21 |