| NPI | 1275704223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KY TP497) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NC 2016-00155) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2016-12-06 |