| NPI | 1972685212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NV 6355) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA G75531) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2017-10-18 |