| NPI | 1740472745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 2018027432) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX Q6468) |
| 207T00000X Neurological Surgery (Licence: TX Q6468) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2023-11-27 |