| NPI | 1972657252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 42019) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MS 20411) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2024-12-16 |