| NPI | 1427153329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 4301111387) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AR E5233) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-10-26 |