| NPI | 1194130229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA C174323) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OK 30778) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2022-06-15 |