| NPI | 1699899047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 41842) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A91727) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2021-01-06 |