| NPI | 1134375249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 2013011938) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL 125988) |
| Enumeration Date | 2008-08-09 |
| Last Update Date | 2023-09-13 |