| NPI | 1336308287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MD D77498) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MS T1861) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2019-03-21 |