| NPI | 1679898548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NC 2019-00191) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX Q6652) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2020-10-26 |