| NPI | 1053666131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO DR.0069848) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OR MD201467) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2023-04-06 |