| NPI | 1487948642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OK 28550) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A153724) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2018-06-11 |