| NPI | 1932383205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX P6733) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: GA 002279) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2021-01-25 |