| NPI | 1114965381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 70181) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NM 2001257) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2024-02-02 |