| NPI | 1932895455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 33138) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ R81109) |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2024-05-17 |