| NPI | 1659325785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO R3K18) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AR C6588) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2021-09-30 |