| NPI | 1811949332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD421844) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: PA MD421844) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2014-01-23 |