| NPI | 1952552945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 066772) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME117465) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2023-02-06 |