| NPI | 1144430125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA MD.202486) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME116079) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-08-23 |