| NPI | 1942524590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX R7270) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ 53433) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2018-08-23 |