| NPI | 1750517231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME178809) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NJ 25MA08993500) |
| 207T00000X Neurological Surgery (Licence: PA MD444108) | |
| 207T00000X Neurological Surgery (Licence: IN 01066833A) | |
| 207T00000X Neurological Surgery (Licence: CA A134229) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2026-03-09 |