| NPI | 1437380342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA 323556) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A117597) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2020-07-03 |