| NPI | 1912352824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NJ 25MB11127000) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA OS022769) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2024-07-10 |