| NPI | 1801917554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA 20A9158) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20A9158) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2015-05-14 |