| NPI | 1871747469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 2014014734) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AR E-10655) |
| 207T00000X Neurological Surgery (Licence: UT 71485131205) | |
| Enumeration Date | 2008-11-09 |
| Last Update Date | 2021-10-04 |