| NPI | 1932295011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX J0998) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: TX J0998) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-01-06 |