| NPI | 1447202163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 064947) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: GA 064947) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2019-02-26 |