| NPI | 1306818505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX R8226) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WI 48539) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-04-17 |