| NPI | 1255370011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MD D62628) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0101255476) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2018-06-07 |