| NPI | 1811145881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A105319) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 248341-1) |
| 207T00000X Neurological Surgery (Licence: NJ 25MA08005500) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2019-02-01 |