| NPI | 1497905442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AL L.4206DP) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA F5357) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2018-07-16 |