| NPI | 1871710004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO DR.0069409) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME97440) |
| 207T00000X Neurological Surgery (Licence: ID M-17074) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2023-04-03 |