| NPI | 1235334038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 301297) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA 20A11861) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2021-06-11 |