| NPI | 1992896120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME105701) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MS 18342) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2017-10-13 |