| NPI | 1235122359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NH 18138) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IA MD-28456) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2023-03-19 |