| NPI | 1225001308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 52629) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WI 47595) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2012-01-04 |