| NPI | 1528446465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MA 295325) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: RI MD18330) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2024-11-08 |