| NPI | 1770553075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AR E-12658) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX J 3562) |
| 207T00000X Neurological Surgery (Licence: CO 49685) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2022-05-09 |