| NPI | 1780871038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 022916) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MD D0015644) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2008-07-31 |