| NPI | 1033297742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AR E-15388) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA G69075) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-10-09 |