| NPI | 1942521968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 078442) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX BP30040996) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2022-07-21 |