| NPI | 1336176585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AL 26016) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 224989) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2023-06-30 |