| NPI | 1881661791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NC 35415) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: ME MD25702) |
| 207T00000X Neurological Surgery (Licence: WV 29021) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2024-03-13 |