| NPI | 1144757162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME166767) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IA R-10869) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2024-02-29 |