| NPI | 1801993167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 39675) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MS 32050) |
| 207T00000X Neurological Surgery (Licence: MI 4301071842) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-08-07 |