| NPI | 1689899312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX P5134) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: GA 001270) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2021-09-29 |