| NPI | 1447250659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX G3244) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AR R3788) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2009-11-18 |