| NPI | 1013005321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 63422) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A76564) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2021-07-25 |