| NPI | 1154053106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 74874) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 32483) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2023-07-27 |