| NPI | 1275609489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: SC 25231) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NC 0090-01409) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2023-03-30 |