| NPI | 1437214046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA G080252) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: CA G080252) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2024-04-26 |