| NPI | 1619030996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OK 2754) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OK 2754) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2022-08-22 |