| NPI | 1730472820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: RI MD17291) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: RI LP02235) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2020-10-23 |