| NPI | 1578543096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX k6208) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX K6208) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2008-10-13 |