| NPI | 1750515029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX R8224) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2016011121) |
| 207T00000X Neurological Surgery (Licence: IN 01074985A) | |
| 207T00000X Neurological Surgery (Licence: OH 35.096394) | |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2023-08-04 |