| NPI | 1174675532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A69129) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO DR.0047236) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2018-06-22 |