| NPI | 1033420674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD456792) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: DC student) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2023-10-20 |