| NPI | 1841563186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX T8932) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD444724) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2022-09-12 |