| NPI | 1447489620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME138728) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 286979) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2024-02-08 |