| NPI | 1851546600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA C153466) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA MD60464676) |
| 207T00000X Neurological Surgery (Licence: TX BP10026959) | |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2024-09-13 |