| NPI | 1295750156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX P3236) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME89691) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-05-13 |