| NPI | 1821206392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO DR.0059264) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35097946) |
| 207T00000X Neurological Surgery (Licence: IN 01067213A) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2021-06-04 |