| NPI | 1457356255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX K1462) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: LA MD020855) |
| 207T00000X Neurological Surgery (Licence: CA A53187) | |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2011-10-20 |