| NPI | 1972576486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA G29654) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G29654) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2016-07-19 |