| NPI | 1477966851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A139629) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: UT 12236684-1205) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2023-05-02 |