| NPI | 1659552818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OR MD153823) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2011037566) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2021-05-18 |