| NPI | 1548259906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 53148) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 200126) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2016-04-15 |