| NPI | 1215917091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 60680) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 246540) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2024-07-05 |