| NPI | 1285783688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: ME MD20190) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MT188762) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2014-08-12 |