| NPI | 1124220231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A129261) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX Q3898) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2021-07-21 |