| NPI | 1992716435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G79459) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA G79459) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2010-07-29 |