| NPI | 1306216726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A137359) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OR MD216433) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2024-01-12 |