| NPI | 1326295122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MA 261000) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OR MD198987) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2020-11-13 |