| NPI | 1073766150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KY 52250) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0101257716) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2022-09-26 |