| NPI | 1619048089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX M6022) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: WI 52003) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2024-02-20 |