| NPI | 1356385025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA G81962) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G81962) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2013-02-28 |