| NPI | 1740266758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A069027) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ 40767) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2024-01-31 |