| NPI | 1952574774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD425367) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX V1959) |
| 207T00000X Neurological Surgery (Licence: IN 01095691A) | |
| 207T00000X Neurological Surgery (Licence: FL 104515) | |
| Enumeration Date | 2008-04-13 |
| Last Update Date | 2025-05-13 |