| NPI | 1083649867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OK 28951) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NC 34144) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2023-03-07 |