| NPI | 1528024924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A48020) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A48020) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2013-05-23 |