| NPI | 1407092224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD447592) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA FC3862922) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2024-08-05 |