| NPI | 1033368998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A124846) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD421707) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2013-04-03 |