| NPI | 1609033232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NH 17105) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MT192538) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2022-02-10 |