| NPI | 1447236187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NC 28417) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 284174) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2013-07-08 |