| NPI | 1073585337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO R7H64) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KS 04-25090) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2022-01-27 |