| NPI | 1851300859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX U0747) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA WA50707C) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2024-05-14 |