| NPI | 1487782009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA NONE YET) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO NONE YET) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2021-05-19 |