| NPI | 1588980023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A119665) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OR MD183290) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2024-04-26 |