| NPI | 1891887626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MA 74602) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: DE C10008108) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2009-06-19 |