| NPI | 1285822197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WA FE60013328) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX BP10027740) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2009-01-23 |