| NPI | 1043263536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AL 17510) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AL 17510) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2015-03-24 |