| NPI | 1457328155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: DC 19422) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MD D43921) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2016-06-01 |