| NPI | 1225297864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NJ 25MA10129500) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A137547) |
| 207T00000X Neurological Surgery (Licence: MA 253194) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2022-07-21 |