| NPI | 1821071895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA 322226) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KY 24648) |
| 207T00000X Neurological Surgery (Licence: GA 073149) | |
| 207T00000X Neurological Surgery (Licence: FL ME0062429) | |
| 207T00000X Neurological Surgery (Licence: AL 18475) | |
| 207T00000X Neurological Surgery (Licence: NC 2017-02195) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2021-01-27 |