| NPI | 1417031691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME96815) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ 42800) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2016-05-17 |