| NPI | 1598834228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MT 6394) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA 45187) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2009-06-03 |