| NPI | 1851652549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD467792) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2012015810) |
| 207T00000X Neurological Surgery (Licence: RI MD16092) | |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2020-08-31 |