| NPI | 1841540457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 62887) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL TRN19109) |
| 207T00000X Neurological Surgery (Licence: CA A167078) | |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2021-06-18 |