| NPI | 1184068835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD474434) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A136539) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2022-02-03 |