| NPI | 1225291842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A137191) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MT193440) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2024-03-13 |