| NPI | 1093987067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX Q6578) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WI 63629-20) |
| 207X00000X Orthopaedic Surgery (Licence: WI 63629-20) | |
| Enumeration Date | 2008-03-30 |
| Last Update Date | 2016-09-12 |