| NPI | 1154381465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: SC MD16408) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NC 9400460) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2016-04-19 |