| NPI | 1679693931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KS 04-35797) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TN 49591) |
| 207T00000X Neurological Surgery (Licence: KY 44713) | |
| 207T00000X Neurological Surgery (Licence: GA AOH300) | |
| 207T00000X Neurological Surgery (Licence: MO 201202849) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2022-03-23 |