| NPI | 1295751337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD472635) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MD D52278) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2021-02-19 |