| NPI | 1932111986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A97834) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0101240161) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-11-23 |