| NPI | 1134191745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 100668) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KS 04-21025) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2015-08-10 |