| NPI | 1982846788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OK 35311) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A95803) |
| 207T00000X Neurological Surgery (Licence: IL 036126865) | |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2020-10-05 |