| NPI | 1477760353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NJ 25MAO9067100) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NJ 25MA09067100) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2017-03-20 |