| NPI | 1164489480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NV 10131) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ 31604) |
| 207T00000X Neurological Surgery (Licence: UT 5420789-1205) | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2022-09-21 |