| NPI | 1902374630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME168732) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: UT 12073067-1205) |
| 207T00000X Neurological Surgery (Licence: FL 27878) | |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2024-06-06 |