| NPI | 1932595279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD481054) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MT208920) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2023-06-20 |