| NPI | 1598116774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 5101026919) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5101026919) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2024-10-29 |