| NPI | 1093244980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NE 7911) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD438519) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2024-02-03 |