| NPI | 1598043143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MS 21587) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AL 31518) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2020-09-01 |