| NPI | 1821271628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 4301091272) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301091272) |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MI 4301091272) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301091272) | |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2009-01-23 |