| NPI | 1215433222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NM MD2026-0565) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A201119) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2026-05-26 |