| NPI | 1740619162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NJ 25MA12324100) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A150605) |
| 207T00000X Neurological Surgery (Licence: AR E-15691) | |
| 207T00000X Neurological Surgery (Licence: MA 1016934) | |
| 207T00000X Neurological Surgery (Licence: GA 97339) | |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2024-10-13 |