| NPI | 1588608293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OK 26028) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI 4301065100) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2013-05-23 |