| NPI | 1982188710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NE 32713) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA TR60864832) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2020-12-27 |