| NPI | 1588867477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ID M-16559) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: LA MD.205693) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2022-05-18 |