| NPI | 1639336472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A110152) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: GU M-1893) |
| 207T00000X Neurological Surgery (Licence: WA MD61507087) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2024-08-15 |