| NPI | 1437109584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD443341) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AR E-6646) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2019-10-24 |