| NPI | 1144425067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 230549) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME101755) |
| 207T00000X Neurological Surgery (Licence: TN MD48124) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2025-12-15 |