| NPI | 1811332174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME168845) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD474192) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2024-10-28 |