| NPI | 1275282428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME169622) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL TRN34494) |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2024-08-08 |