| NPI | 1346359841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD459537) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NJ MA067529) |
| 207T00000X Neurological Surgery (Licence: TX N0457) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2017-01-18 |