| NPI | 1851603906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA MD.308541) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX R5514) |
| 207T00000X Neurological Surgery (Licence: MN 73373) | |
| 207T00000X Neurological Surgery (Licence: TN 55750) | |
| 207T00000X Neurological Surgery (Licence: KS 04-44190) | |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2024-02-02 |