| NPI | 1801288816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MD D0091825) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WI 62323-20) |
| 207T00000X Neurological Surgery (Licence: AZ 51533) | |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2021-06-28 |