| NPI | 1245324185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0101255531) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: DC MD31653) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-11-27 |