| NPI | 1316271802 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA C192978) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 8S7NHDC9) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2024-07-17 |