| NPI | 1578946273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 91057) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: GA 7566) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2024-03-06 |