| NPI | 1306342555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: SD 17565) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NE 36885) |
| 207T00000X Neurological Surgery (Licence: IA MD-54783) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2025-08-07 |