| NPI | 1023093218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 29324) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA 70638) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2020-09-08 |