| NPI | 1235332040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MD D0079793) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MD D0079793) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-03-06 |