| NPI | 1659422137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 178988) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NJ 59026) |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2007-07-08 |