| NPI | 1548243389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA G85330) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OR md26432) |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2014-07-01 |