| NPI | 1063502037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 20541) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 020541) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2021-04-14 |