| NPI | 1508220542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A187161) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME166591) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2024-05-22 |