| NPI | 1669683165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA md426382) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 247708) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2013-12-11 |