| NPI | 1235558487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX U8800) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AR E-13826) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2024-05-20 |