| NPI | 1518349588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 81684) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A177054) |
| 207T00000X Neurological Surgery (Licence: WI 81684) | |
| 207T00000X Neurological Surgery (Licence: MO 2015020486) | |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2023-09-13 |