| NPI | 1013951185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AL 19765) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL 19765) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2011-05-03 |