NPI | 1275995508 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 85718-20) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WI 85718-20) |
207T00000X Neurological Surgery (Licence: WA MD61529429) | |
Enumeration Date | 2016-03-25 |
Last Update Date | 2025-07-16 |