| NPI | 1992291793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A160007) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA 60814093) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2019-06-11 |