| NPI | 1053768242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 4301505949) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI 4301109569) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2024-07-17 |