| NPI | 1518197151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MS 20730) |
| Additional Taxonomies | 174400000X Specialist (Licence: MS 20730) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2020-09-01 |