| NPI | 1154826808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 70025) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 29126) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2021-08-26 |