| NPI | 1467545137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO 42282) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO DR.0042282) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-01-25 |