| NPI | 1194346585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX T4700) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2020042555) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2022-08-10 |