| NPI | 1205899937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX U8099) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME0068833) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2023-12-14 |