| NPI | 1316115496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD481362) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 265782-1) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2024-10-10 |