| NPI | 1518930775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO DR.0060998) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A66857) |
| 207T00000X Neurological Surgery (Licence: TX N7801) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2018-11-19 |