| NPI | 1558578344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NH 16074) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA 254853) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2021-04-07 |