| NPI | 1043573959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0101273706) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A160670) |
| 207T00000X Neurological Surgery (Licence: PA MT202574) | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2023-12-22 |