| NPI | 1285693077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AK 7202) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: SD 5262) |
| 207T00000X Neurological Surgery (Licence: NM MD2011-0824) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2014-06-02 |