| NPI | 1194765180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WV 22547) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD429271) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2022-09-19 |