| NPI | 1275573255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AR R3751) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NM MD2005-0149) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2017-03-09 |