| NPI | 1073712469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: ND 3822) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: ND 3822) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-23 |