| NPI | 1154544401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AL 30171) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2006031525) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2011-08-31 |