| NPI | 1952370371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD063765L) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD063765L) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2021-04-19 |