| NPI | 1508856790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA GA-048624) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: GA 048624) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2022-08-30 |