| NPI | 1881872380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MD D0019859) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 010135224) |
| 207T00000X Neurological Surgery (Licence: DC MD9570) | |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2014-06-05 |