| NPI | 1518224492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA C204641) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD466897) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2025-09-08 |