| NPI | 1497980296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL OS16600) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL OS12197) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2020-07-23 |