| NPI | 1316110901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME107098) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A86669) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2010-10-13 |