| NPI | 1437264744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MA 150191) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CT 38387) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2011-10-27 |