| NPI | 1790944668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MA 263012) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MD D0081418) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2020-10-26 |