| NPI | 1689822314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AR E-9067) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AL 35367) |
| Enumeration Date | 2008-09-06 |
| Last Update Date | 2019-08-27 |