| NPI | 1336137967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OK 11695) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX E0810) |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2009-12-16 |