| NPI | 1073701660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 78858) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO 49227) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2025-04-21 |