| NPI | 1023073400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 42477) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: WI 42477) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2023-10-04 |