| NPI | 1154772044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KS 04-47784) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2023024951) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2023-08-04 |