| NPI | 1154683597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO DR.0061907) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA L-251453) |
| 207T00000X Neurological Surgery (Licence: GA 079431) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2024-05-23 |