| NPI | 1801066964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO DR.0055757) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35.121058) |
| 207T00000X Neurological Surgery (Licence: ID M-12453) | |
| 207T00000X Neurological Surgery (Licence: CA 107826) | |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2025-11-12 |