| NPI | 1861440356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 2009027530) |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: MO 2009027530) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2010-03-02 |