| NPI | 1538545975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NJ 25MB11073300) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ 010092) |
| Enumeration Date | 2015-08-08 |
| Last Update Date | 2024-03-28 |