| NPI | 1447444971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX M8287) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD429624) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2021-04-09 |