| NPI | 1700106721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX Q9799) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX BP10038004) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2019-11-22 |