| NPI | 1548238108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA G69334) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G69334) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-05-26 |