| NPI | 1437826302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA SPI682) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA F682) |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2024-05-01 |