| NPI | 1891752176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NV 8076) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ 27062) |
| 207T00000X Neurological Surgery (Licence: UT 357661-1205) | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2015-07-20 |