| NPI | 1275686636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA md437288) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MD aj4147357) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2022-04-14 |