| NPI | 1134579451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 5101026931) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AL 3241) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2024-06-19 |