| NPI | 1316363666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA 126144) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO DR.0076161) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2025-11-12 |