| NPI | 1821109786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME146515) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: FL ME146515) |
| 207T00000X Neurological Surgery (Licence: IL 036.139412) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME146515) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-01-02 |