| NPI | 1336245133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX L5878) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: TX L5878) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2023-03-02 |