| NPI | 1437149523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: RI MD19577) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA 216069) |
| 207T00000X Neurological Surgery (Licence: MN 62432) | |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2024-05-07 |