| NPI | 1811106578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME113039) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI 4301088062) |
| 207T00000X Neurological Surgery (Licence: MS 27587) | |
| 207T00000X Neurological Surgery (Licence: CA A114737) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2024-04-02 |