| NPI | 1861678591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 42899) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A104783) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2021-10-06 |