| NPI | 1427410620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MA 1022389) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: UT 12234280-1205) |
| 207T00000X Neurological Surgery (Licence: RI MD19637) | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2026-02-02 |