| NPI | 1225128705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME101483) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AR E2981) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2018-03-05 |