| NPI | 1467871442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A172632) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 000000000) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2021-07-29 |