| NPI | 1942435375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO CDR.0003440) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OK 27199) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2024-04-08 |