| NPI | 1033454194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: SD 12183) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 57 . 020833) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2020-11-25 |