| NPI | 1720124084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MD D70409) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ 57787) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2019-05-09 |