| NPI | 1598751018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MD D86411) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ 23280) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2021-06-17 |