| NPI | 1447784772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD484623) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: DE C1-0027352) |
| 207T00000X Neurological Surgery (Licence: NJ 25MA12177100) | |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2026-03-13 |