| NPI | 1780888529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CT 045293) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT 045293) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2022-09-29 |