| NPI | 1861719817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AL 49098) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A147809) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2024-08-01 |