| NPI | 1508367277 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 77166) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A153432) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2024-08-23 |