| NPI | 1811019409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 61542) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: GA RTP001881) |
| 207T00000X Neurological Surgery (Licence: NV 14751) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2013-12-03 |