| NPI | 1245473511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD480418) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO 48964) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2023-06-15 |