| NPI | 1083980056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A158789) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX S7122) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2024-02-05 |