| NPI | 1689657306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: RI MD10126) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA 205361) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2024-04-12 |