| NPI | 1528226792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 283345) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA MD60335200) |
| 207T00000X Neurological Surgery (Licence: CA A102313) | |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2020-10-26 |