| NPI | 1174797153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 283024) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MD D75995) |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2021-05-14 |