| NPI | 1306951421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NH 6582) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: UT 76-159403-1205) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2011-09-07 |