| NPI | 1407936115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A114456) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL me108492) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-06-30 |