| NPI | 1235181215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 139481) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MD D0089986) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2024-06-03 |