| NPI | 1891883054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MD D00481202) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: DC MD20278) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-03-17 |