| NPI | 1639362007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA MD026456) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: LA MD 026456) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2025-09-04 |