| NPI | 1932195427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX M7885) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ 33378) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2021-12-02 |