| NPI | 1407059181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A175501) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD439896) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2024-04-26 |