| NPI | 1396159851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NE #7195) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX T4001) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2022-06-07 |