| NPI | 1225122690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: ID M-10837) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NM MD2005-0523) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-01-28 |