| NPI | 1144454679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX S9137) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KY 49206) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2022-01-20 |