| NPI | 1073141727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 112389) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2024-01528) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2026-07-28 |