| NPI | 1700047347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A116271) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A116271) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2020-03-16 |