| NPI | 1780945113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 60760) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0101267089) |
| 207T00000X Neurological Surgery (Licence: TX S3069) | |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2022-06-08 |