| NPI | 1225240286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A76130) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MD D65890) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2024-04-26 |