| NPI | 1427096288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 23130) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 23130) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2015-09-22 |