| NPI | 1245313253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NE 24296) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A67901) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2017-02-20 |