| NPI | 1952333486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD443834) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA 224725) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-11 |