| NPI | 1306819826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 4301036368) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA G39163) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2024-02-21 |