| NPI | 1023066834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 218130) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A87318) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2022-07-14 |