| NPI | 1275639304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM 95-345) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NM 95-345) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2017-04-19 |