| NPI | 1972388924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A202967) |
| Additional Taxonomies | 2085N0700X (Licence: CA A202967) |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2025-12-09 |