| NPI | 1548689482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 62615) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MS 29063) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2021-11-12 |