| NPI | 1851568174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA MD204131) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A134403) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2016-11-09 |