| NPI | 1942363445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 314103) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD422007) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2024-07-08 |