| NPI | 1568584159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX P5247) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A94626) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2019-10-24 |