| NPI | 1932176849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MD D55620) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: DC 30223) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2013-01-07 |