| NPI | 1134302599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 4301103860) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NC 141229) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2023-11-10 |