| NPI | 1184656233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 590) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: SC 0590) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2024-01-18 |