| NPI | 1346368701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KY 42821) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KY TP515) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2016-10-14 |