| NPI | 1376736819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 67119) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AR E-8544) |
| Enumeration Date | 2007-08-18 |
| Last Update Date | 2023-01-05 |