| NPI | 1427275676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NV 13834) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: RI LP00487) |
| 207T00000X Neurological Surgery (Licence: CA A116313) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2019-01-29 |