| NPI | 1073562294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 23468) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A62104) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2019-09-11 |