| NPI | 1982675104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MT 11733) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA 60072193) |
| 207T00000X Neurological Surgery (Licence: TX N2836) | |
| 207T00000X Neurological Surgery (Licence: CO 47423) | |
| 207T00000X Neurological Surgery (Licence: ND 12668) | |
| 207T00000X Neurological Surgery (Licence: NE 205073) | |
| 207T00000X Neurological Surgery (Licence: OR 166883) | |
| 207T00000X Neurological Surgery (Licence: NM 2009-0013) | |
| 207T00000X Neurological Surgery (Licence: MN 60122) | |
| 207T00000X Neurological Surgery (Licence: MO 106073) | |
| 207T00000X Neurological Surgery (Licence: WY 9154A) | |
| 207T00000X Neurological Surgery (Licence: AZ 51781) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2024-04-05 |