| NPI | 1528382173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MD D0099061) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD464637) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2024-04-18 |