| NPI | 1063513141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MS 09082) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MS 9082) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2022-03-28 |