| NPI | 1013117688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OK 30503) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL 11735) |
| 207T00000X Neurological Surgery (Licence: FL ME105876) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2022-02-02 |