| NPI | 1932144094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 312637) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA g87701) |
| 207T00000X Neurological Surgery (Licence: NJ 25MA08687700) | |
| 207T00000X Neurological Surgery (Licence: PA MD058514L) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2024-06-03 |