| NPI | 1679693428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NV DO2209) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IN 02003330A) |
| 207T00000X Neurological Surgery (Licence: CO DR.0057671) | |
| 207T00000X Neurological Surgery (Licence: ND 13826) | |
| 207T00000X Neurological Surgery (Licence: CA 13305) | |
| 207T00000X Neurological Surgery (Licence: IL 036118927) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2023-08-29 |