| NPI | 1831416049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX R7016) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 58573) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2024-04-03 |