| NPI | 1043272644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 1570) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AL 32397) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2023-06-01 |