| NPI | 1841285756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX M8814) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME77582) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2017-06-27 |