| NPI | 1780795435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL OS12942) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2006013528) |
| 207T00000X Neurological Surgery (Licence: PA OS014141) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-03-30 |