| NPI | 1932363843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 275715) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX P7798) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2026-01-22 |