| NPI | 1215176839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: ID M-14514) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A109748) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2022-01-11 |