| NPI | 1831366392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KY 45502) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OR MD28177) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2018-03-17 |