| NPI | 1326117953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MA 234571) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0101048132) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-11-13 |