| NPI | 1427044924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX M7192) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ 33547) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2021-12-23 |