| NPI | 1316068927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 223125-10) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NJ 25MA08220400) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-11-23 |