| NPI | 1508180175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NC 2022-02854) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: LA 308525) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2024-01-07 |