| NPI | 1326014770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 242379) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD418563) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2023-07-05 |