| NPI | 1619393691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX S8393) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A176192) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2024-06-14 |