| NPI | 1144516063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO DR.0060726) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME116613) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2021-04-26 |