| NPI | 1245656206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME151928) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A128150) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2021-09-01 |