| NPI | 1073830543 |
|---|---|
| Former Name | NELSON MOUSSAZADEH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX R2683) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 269560) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2018-05-08 |