| NPI | 1902832876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME90409) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NM 73-214) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2010-06-29 |