| NPI | 1396708509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KY 42896) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TN 26339) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2010-02-09 |