| NPI | 1548553605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 322504) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NY 322504) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2024-05-20 |