| NPI | 1184734030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 49526) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WI 50316) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-03-22 |