| NPI | 1922023720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A76248) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME88856) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2024-01-30 |