| NPI | 1063420792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: ID M-7767) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: ID M7767) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2023-02-17 |