| NPI | 1003449000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 72374) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 31569) |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2022-08-17 |