| NPI | 1447632369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NC 2019-00871) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NC 2019-00871) |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2023-08-04 |