| NPI | 1184031627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA MD208085) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A131428) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2015-10-14 |