| NPI | 1467504373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MD D74560) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MD P19991) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-05-27 |