| NPI | 1356576839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: HI MD-23537) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OK 27232) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2023-11-01 |