| NPI | 1396199782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A151459) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 73229) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2024-06-27 |