| NPI | 1396834958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CT 045027) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA 220026) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-02-25 |