| NPI | 1417937426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX J8311) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: LA MD.204211) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2021-03-29 |