| NPI | 1295199289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AR E-12777) |
| Additional Taxonomies | 208VP0000X (Licence: AR E-12777) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2025-06-30 |