| NPI | 1427017334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NC 9300498) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: SC 14250) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2011-09-02 |