| NPI | 1134574460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 68386) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX BP10056898) |
| Enumeration Date | 2016-04-23 |
| Last Update Date | 2024-06-03 |