| NPI | 1295782670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 112080) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AR C8141) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2015-08-21 |