| NPI | 1457671976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 89329) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME133960) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2021-10-27 |