| NPI | 1124208277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A131940) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA MD60254009) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2024-11-07 |