| NPI | 1245251743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX J7902) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX J7902) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2024-08-05 |