| NPI | 1275654386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MT 25806) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI 5101016883) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2023-11-27 |