| NPI | 1871770263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL OS13676) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI 510107460) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2018-09-17 |