| NPI | 1548239072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 55783-20) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MS 18012) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2013-01-09 |