| NPI | 1275542516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX M8084) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: LA MD020347) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2022-09-26 |