| NPI | 1891885935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 2017032651) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 30987) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2018-03-17 |