| NPI | 1023229325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: ID M-17459) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA C143668) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2023-12-12 |