| NPI | 1912360462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MA 1020694) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125068506) |
| 207T00000X Neurological Surgery (Licence: CA A185550) | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2024-08-23 |