| NPI | 1831161926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KY 58157) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 200300437) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2023-08-09 |