| NPI | 1831376177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: SC 36782) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: UT 6837756-1205) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2014-07-25 |