| NPI | 1598863326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OR MD205928) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA G52334) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-08-13 |