| NPI | 1881867547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OK 34275) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AR E-7296) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2020-06-02 |