| NPI | 1992740484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 2004015914) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KS 04-30695) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2008-02-22 |