| NPI | 1841570835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 90314) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MD p26950) |
| 207T00000X Neurological Surgery (Licence: PA MD463678) | |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2021-10-22 |