| NPI | 1629298500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AR E7752) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: SC LL33444) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2023-02-28 |