| NPI | 1902926850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX N8592) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA a87383) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2019-08-15 |