| NPI | 1447695325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A131842) |
| Additional Taxonomies | 2085N0700X (Licence: CA A131842) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2024-02-16 |