| NPI | 1760845044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OR MD221602) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A186011) |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2024-08-08 |