| NPI | 1396108692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 71692) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD481619) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2024-08-20 |