| NPI | 1598717035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: RI MD15002) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MD D58481) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2026-04-21 |