| NPI | 1821057530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO 50211) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME84585) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2017-05-02 |