| NPI | 1265498521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MD D62853) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA 235659) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2013-02-01 |