| NPI | 1861554024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 35636) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 35636) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2015-02-19 |