| NPI | 1457444911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX L1979) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: TX L1979) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-05-23 |