| NPI | 1720358971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 62347) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A100574) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2021-05-12 |