| NPI | 1013966001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO 52461) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NE 23280) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2026-04-14 |