| NPI | 1972578870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: ID M14355) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA MD60056621) |
| 207T00000X Neurological Surgery (Licence: TX J5428) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2023-02-22 |