| NPI | 1134219611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AR R-4489) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA 242447) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2016-08-15 |