| NPI | 1952347668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NH 16529) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME102218) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2014-05-02 |