| NPI | 1093818221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX F5887) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: DC MD14313) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2017-04-19 |