| NPI | 1013227198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD454239) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 275975) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2018-05-08 |