| NPI | 1831286863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME118973) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AL 26485) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2016-03-01 |