| NPI | 1083726798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 258352) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD453180) |
| 207T00000X Neurological Surgery (Licence: OR MD24962) | |
| 207T00000X Neurological Surgery (Licence: CA C178389) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-03-02 |