| NPI | 1952495947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AL 53458) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NC 100542) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2026-03-31 |