| NPI | 1134113889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NJ 25ma08681400) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD430407) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2025-02-21 |