| NPI | 1598726283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NJ 67777) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 211738-1) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2010-07-01 |