| NPI | 1144456674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX P3342) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ 6161) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2022-03-01 |