| NPI | 1457528010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: ME MD19742) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AR E-5392) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2013-12-06 |