| NPI | 1467537217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: SD 5011) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: ND 6592) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-10-19 |