| NPI | 1235265364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MD D74936) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 301195) |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2022-06-08 |