| NPI | 1093970949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NH 17486) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA 240821) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2022-08-26 |