| NPI | 1881098325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 307653) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A132822) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2023-01-16 |