| NPI | 1275828410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX R9102) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A152779) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2019-09-18 |