| NPI | 1992143812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 310063) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CT 68622) |
| 207T00000X Neurological Surgery (Licence: OH 35.138959) | |
| 207T00000X Neurological Surgery (Licence: MA 255978) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2021-06-10 |