| NPI | 1073611968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: DE C1-0006294) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: DE C10006294) |
| 207T00000X Neurological Surgery (Licence: MD D0057496) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2010-07-13 |