| NPI | 1578819827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: UT 10766526-1205) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 283539-1) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 10766526-1205) | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2021-11-22 |