| NPI | 1093943961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 272058) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IA 38538) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2014-02-18 |