| NPI | 1053516310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX 48359) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX 47652) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2024-08-15 |