| NPI | 1124439294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME169459) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A142022) |
| 207T00000X Neurological Surgery (Licence: TX T2600) | |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2026-06-25 |