| NPI | 1003860735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MA 257361) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME0095822) |
| 207T00000X Neurological Surgery (Licence: AZ 36176) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2018-05-24 |