| NPI | 1245612753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AR E-18062) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A185702) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2024-08-01 |