| NPI | 1194170217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: RI MD19036) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME133615) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2023-04-11 |