| NPI | 1841497989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A93373) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A93373) |
| 208600000X Surgery (Licence: CA A93373) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2023-03-07 |