| NPI | 1144335878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 277136-1) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX P6703) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2022-12-08 |