| NPI | 1982089223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA 20A16151) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CT 073193) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2025-10-23 |