| NPI | 1700872157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: ND 14795) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MS 20126) |
| 207T00000X Neurological Surgery (Licence: GA 039979) | |
| 207T00000X Neurological Surgery (Licence: AL MD31203) | |
| 207T00000X Neurological Surgery (Licence: FL ME 117364) | |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2018-03-17 |