| NPI | 1003974338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME58188) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: GA 72545) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2022-10-11 |