| NPI | 1487862926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA 201981) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101241997) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-06-03 |