| NPI | 1417287517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 4301085647) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX BP10025225) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2023-02-21 |