| NPI | 1467549584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 262270) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TN MD39999) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2022-12-30 |