| NPI | 1285618918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD465745) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA 76211) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2019-02-13 |