| NPI | 1447544788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 73460) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: GA 077678) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2021-12-02 |