| NPI | 1144458662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 77815) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ 51503) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2022-10-25 |