| NPI | 1356423271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OR MD198315) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IA MD-49282) |
| 207T00000X Neurological Surgery (Licence: CA A74580) | |
| 207T00000X Neurological Surgery (Licence: NY 304169) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2021-12-20 |