| NPI | 1295998011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KY 05620) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036.120676) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2025-05-28 |