| NPI | 1174540173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NC 2016-02431) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2016-02431) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2023-04-14 |