| NPI | 1841470663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MD D0073943) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A100951) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2016-07-13 |