| NPI | 1881634194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO DR42524) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO 42524) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2013-02-15 |