| NPI | 1437477387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX T7604) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA MD60637549) |
| 207T00000X Neurological Surgery (Licence: NH 18363) | |
| Enumeration Date | 2010-05-16 |
| Last Update Date | 2022-06-03 |