| NPI | 1598743734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA MD.017745) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX J2753) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2022-07-21 |