| NPI | 1841406295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD435791) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA 217873) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2022-10-21 |