| NPI | 1437285806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 67442) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA 240067) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2023-03-29 |