| NPI | 1881863744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NC 2008-00886) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NC RTL) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2009-01-13 |