| NPI | 1033152145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD418264) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NJ 25MA11644500) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2026-05-28 |