| NPI | 1508113986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX BP10042915) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX Q0979) |
| Enumeration Date | 2012-08-05 |
| Last Update Date | 2024-09-10 |