| NPI | 1992721021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME122117) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MD D0030060) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2025-04-09 |