| NPI | 1346413929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AL 42923) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: GU MC-129) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2023-01-24 |