| NPI | 1477505329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA07946500) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD426351) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2021-05-28 |