| NPI | 1952836173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WA MD61493297) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO DR.0074831) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2025-05-27 |