| NPI | 1447678172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 81849) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A179465) |
| 2085N0700X Radiology, Neuroradiology (Licence: OR MD205373) | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2023-10-18 |