| NPI | 1346332004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 076840) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL 00025882) |
| 207T00000X Neurological Surgery (Licence: GA 076840) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2022-02-08 |