| NPI | 1235592916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX U9363) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT210763) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2024-09-24 |