| NPI | 1518178318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AR E-8425) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TN MD49531) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2014-06-11 |