| NPI | 1437161395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NC 2017-02080) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA ML2008611) |
| 207Y00000X Otolaryngology (Licence: NC 2017-02080) | |
| 207T00000X Neurological Surgery (Licence: NM MD2024-0844) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2026-02-16 |