| NPI | 1619171279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN 48665) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX BP2-0023371) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2015-07-28 |